Week 7 Flashcards

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1
Q

when running to injured always assume…

A

spinal injury.

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2
Q

Spinal Injury management…

A

-Stabilize to prevent quality of life change and minimize damage

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3
Q

Spinal Injury can result in…

A

-paraplegia: paralysis from the hips down
-Quadriplegia: paralysis from neck down
-Decreased strength
-Decreased sensation

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4
Q

Spinal injury’s are a emergency potentially effecting…

A

-sensation
-movement
-cognition

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5
Q

Spinals happen in what percent of athletes?

A

8-10%

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6
Q

Spinal board is a method of…

A

Maintaining spinal alignment
-This helps reduce injury during transport to the hospital

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7
Q

A spinal board is the combination of…

A

straps, neck, brace, head blocks

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8
Q

Red flags during spinal injury

A

-Decreased motor/sensory functions
-Declining mental state
-Mid-line pain

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9
Q

How conman is a cervical spinal injury

A

40%

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10
Q

How conman is a thoracic spinal injury

A

10%

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11
Q

How conman is a lumbar spinal injury

A

3%

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12
Q

How conman is a dorsal lumbar spinal injury

A

35%

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13
Q

How conman is any spinal injury

A

14%

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14
Q

Step 1 to treating a spine injury

A

Assess ABC’s and stabilize

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15
Q

Step 2 to treating a spine injury

A

Assess motor function

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16
Q

Step 3 to treating a spine injury

A

Assess sensory function

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17
Q

Step 4 to treating spine injury

A

Palpation of spine

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18
Q

Step 5 of treating someone with a spine injury

A

Boarding c-spine
-whoever is stabilizing the head is in control

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19
Q

Step 6 of treating someone with spinal injury

A

Secure to board and remove from situation

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20
Q

Fractures are what percent of sport injuries?

A

10%
(mostly contact sports)

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21
Q

Frequent fracture sites

A

-wrist
-clavicle
-ankle
-Phlanges

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22
Q

Fracture Locations (Middle of bone shaft)

A

Diaphyseal

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23
Q

Fracture location (Superior or inferior portion of the bone)

A

Epiphyseal

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24
Q

Fracture Location (On the surface of the bone)

A

Articular Fractures

25
Q

Diaphyseal recovery percentage…

A

high percent of recovery

26
Q

Epiphysel is your…

A

Growth Plate

27
Q

Articular is the…

A

Joint Surface

28
Q

The Severity of Fractures…

A

-Incomplete
-Undisplaced
-Displaced
-Open

29
Q

Incomplete Fractures are…

A

Partial Fractures

30
Q

Undisplaced Fractures are…

A

complete fractures but the bone will stay in alignment

31
Q

Displaced Fractures are…

A

unaligned ends and it will need surgery

32
Q

Open Fractures are

A

when the fracture breaks through the skin
AKA: compound fractures

33
Q

Shapes of fractures (Depressed Fracture)

A

Direct trama to flat bones and it creates a concave shape

34
Q

Shapes of Fractures (Transverse Fracture)

A

Horizontal Break created by direct trauma or shearing (one part of the body part going one way while the other part of it is going the other way

35
Q

Shapes of Fractures (Communated Fractures)

A

Small Fragments and it will need surgery

36
Q

Shapes of fractures (compacted fracture)

A

Crushing through its axis creates a shortened limb

37
Q

Shapes of Fractures (Spiral Fractures)

A

Spiral appearance is caused by rotation of the bone and it is usually related to child abuse

38
Q

Shapes of Fractures (Longitudinal Fractures)

A

Parallel Fracture

39
Q

Fracture=

A

Fx

40
Q

Shapes of Fractures (oblique)

A

45-degree angle to the bone

41
Q

Shapes of Fractures (Greenstick)

A

One side fractures, and the opposite side of the fracture shall stay intact it is usually seen in pediatric patients. (bone kinda bends like a green leaf)

42
Q

Shapes of Fractures (Avulsion)

A

A piece of bone torn from its original location by a tendon or ligament

43
Q

Dislocation can occur

A

At any joint

44
Q

Dislocation is also known as

A

“out of socket “, “out of Place”

45
Q

Dislocations are a…

A

Medical emergency

46
Q

Subluxation is a…

A

Partial Dislocation (Dislocation followed by a spontaneous self-reduction) “Popped out and went back in”

47
Q

Complications with Dislocation and subluxation

A

-Cartilage damage
-nerve damage
-capsular damage
-vascular compromise

48
Q

Cartilage Damage

A

-It is often damaged secondary to dislocation/subluxation
-Extreme portions can be damaged
-“Chipping of cartilage”

49
Q

Nerve Damage

A

Can be damaged upon dislocation
-Rapid stretching and increased stretch of nerve fibers

50
Q

Capsular Damage

A

-Rapid dislocation stretches the shoulder capsule
-Stretching of the capsule creates instability/laxity (excess movement)
-Must be repaired by surgery

51
Q

Vascular compromise

A

-Boney structures can sever vascularity in a given area

52
Q

Vascularity=

A

Blood supply

53
Q

Internal Joint bleeding begins

A

total joint decay

54
Q

Treating Dislocation/subluxation Step 1

A

Check:
1. Sensory (dermatomes)
2. Motor (movement)
3. Pulse

55
Q

Treating Dislocation/subluxation Step 2

A

Apply splint and activate EMS for the first time of dislocation if all 3 check out

56
Q

Treating Dislocation/subluxation Step 3

A

If there is no pulse, reduce it immediately

57
Q

Treating Dislocation/subluxation Step 4

A

The patient must be evaluated further via X-ray and MRI

58
Q

When can you reduce a dislocation?

A

IF and only IF there is no pulse